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NR 324 Exam 1 Practice Chamberlain Comprehensive Questions (Frequently Tested) and Complete Solutions Graded A+

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NR 324 Exam 1 Practice Chamberlain Comprehensive Questions (Frequently Tested) and Complete Solutions Graded A+

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NR 324 Exam 1 Practice
Chamberlain Comprehensive
Questions (Frequently Tested) and
Complete Solutions Graded A+
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The nurse is caring for a client with a nasogastric tube that is attached
to low suction. The nurse monitors the client for manifestations of
which disorder that the client is at risk for?

,A. Metabolic acidosis

B. Metabolic alkalosis

C. Respiratory acidosis

D. Respiratory alkalosis - Answer: B. Metabolic alkalosis



Rationale:

>Metabolic alkalosis is defined as a deficit or loss of hydrogen ions or
acids or an excess of base (bicarbonate) that results from the
accumulation of base or from a loss of acid without a comparable loss
of base in the body fluids.



>This occurs in conditions resulting in hypovolemia, the loss of gastric
fluid, excessive bicarbonate intake, the massive transfusion of whole
blood, and hyperaldosteronism.



>Loss of gastric fluid via nasogastric suction or vomiting causes
metabolic alkalosis as a result of the loss of hydrochloric acid



On review of the clients' medical records, the nurse determines that
which client is at risk for

fluid volume excess?

, A. The client taking diuretics who has tenting of the skin



B. The client with an ileostomy from a recent abdominal surgery



C. The client who requires intermittent gastrointestinal suctioning



D. The client with kidney disease and a 12-year history of diabetes
mellitus - Answer: D. The client with kidney disease and a 12-year
history of diabetes mellitus



Which client is at risk for the development of a potassium level of 5.5
mEq/L (5.5 mmol/L)?



A. The client with colitis



B. The client with Cushing's syndrome



C. The client who has been overusing laxatives



D. The client who has sustained a traumatic burn - Answer: D. The
client who has sustained a traumatic burn

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